Physician
Horchos, Paul
Horchos, Paul was paid $91K by Medicaid between Oct 2020 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoHORCHOS, PAUL
SCRANTON, PA 18508
SCRANTON, PA 18508
33aNPI1033102520assigned 08/30/2005
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$91K
24GClaims7,816
24DCodes billed11
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Pennsylvania
Rank by total paid#21 of 148
Median peer was paid$8K
This provider vs. median12×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 272 | $2K | |
| 2021 | 1,719 | $19K | |
| 2022 | 1,385 | $22K | |
| 2023 | 2,304 | $27K | |
| 2024incomplete | 2,136 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 1,507 | 1,462 | $47K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 45% | 825 | 783 | $41K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.7% | 41 | 41 | $3K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,545 | 1,479 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 257 | 246 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,253 | 1,199 | $0.00 |
| 3288F | 0% | 102 | 92 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 638 | 605 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 100 | 98 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,536 | 1,467 | $0.00 |
| 1101F | 0% | 12 | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.